- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.30 / $22.64 / $51.80
| Facility | | $5.30 | $22.64 | $51.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.89 / $23.00
| Professional | | $5.01 | $6.89 | $23.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $12.11 / $293.00
| Facility | | $5.50 | $12.11 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $4.70 / $11.96
| Professional | | $2.84 | $4.70 | $11.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $45.50 / $90.52
| Facility | | $12.64 | $45.50 | $90.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $4.44 / $24.10
| Professional | | $3.11 | $4.44 | $24.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $6.59 / $16.79
| Facility | | $3.47 | $6.59 | $16.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $6.20 / $11.26
| Professional | | $3.18 | $6.20 | $11.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.52 / $99.00
| Professional | | $5.01 | $5.52 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.01 / $11.04
| Professional | | $4.01 | $5.01 | $11.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $80.00 / $80.00
| Facility | | $60.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.01 / $3.01
| Professional | | $3.01 | $3.01 | $3.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.66 / $5.27 / $12.55
| Facility | | $2.66 | $5.27 | $12.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $5.01 / $10.03
| Professional | | $3.25 | $5.01 | $10.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.62 / $17.62 / $17.62
| Professional | | $17.62 | $17.62 | $17.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $4.29 / $12.16
| Professional | | $3.01 | $4.29 | $12.16 |